PMID- 25968006
OWN - NLM
STAT- MEDLINE
DCOM- 20160128
LR  - 20220316
IS  - 2044-6055 (Electronic)
IS  - 2044-6055 (Linking)
VI  - 5
IP  - 5
DP  - 2015 May 11
TI  - GlideScope video laryngoscopy versus direct laryngoscopy in the emergency 
      department: a propensity score-matched analysis.
PG  - e007884
LID - 10.1136/bmjopen-2015-007884 [doi]
LID - e007884
AB  - OBJECTIVE: To evaluate whether the use of a GlideScope video laryngoscope (GVL) 
      improves first-attempt intubation success compared with the Macintosh 
      laryngoscope (MAC) in the emergency department (ED). DESIGN: A propensity 
      score-matched analysis of data from a prospective multicentre ED airway 
      registry-the Korean Emergency Airway Management Registry (KEAMR). SETTING: 4 
      academic EDs located in a metropolitan city and a province in South Korea. 
      PARTICIPANTS: A total of 4041 adult patients without cardiac arrest who underwent 
      emergency intubation from January 2007 to December 2010. OUTCOME MEASURES: The 
      primary and secondary outcomes were successful first intubation attempt and 
      intubation failure, respectively. To reduce the selection bias and potential 
      confounding effects, we rigorously adjusted for the baseline differences between 
      two groups using a propensity score matching. RESULTS: Of the 4041 eligible 
      patients, a GVL was initially used in 540 patients (13.4%). Using 1:2 propensity 
      score matching, 363 and 726 patients were assigned to the GVL and MAC groups, 
      respectively. The adjusted relative risks (95% CIs) for the first-attempt success 
      rates with a GVL compared with a MAC were 0.76 (0.56 to 1.04; p=0.084) and the 
      respective intubation failure rates 1.03(0.99 to 1.07; p=0.157). Regarding the 
      subgroups, the first-attempt success of the senior residents and attending 
      physicians was lower with the GVL (0.47 (0.23 to 0.98), p=0.043). In the patients 
      with slight intubation difficulty, the first-attempt success was lower (0.60 
      (0.41 to 0.88), p=0.008) and the intubation failure was higher with the GVL (1.07 
      (1.02 to 1.13), p=0.008). CONCLUSIONS: In this propensity score-matched analysis 
      of data from a prospective multicentre ED airway registry, the overall 
      first-attempt intubation success and failure rates did not differ significantly 
      between GVL and MAC in the ED setting. Further randomised controlled trials are 
      needed to confirm our findings.
CI  - Published by the BMJ Publishing Group Limited. For permission to use (where not 
      already granted under a licence) please go to 
      http://group.bmj.com/group/rights-licensing/permissions.
FAU - Choi, Hyuk Joong
AU  - Choi HJ
AD  - Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, 
      Korea.
FAU - Kim, Young-Min
AU  - Kim YM
AD  - Department of Emergency Medicine, College of Medicine, The Catholic University of 
      Korea, Seoul, Korea.
FAU - Oh, Young Min
AU  - Oh YM
AD  - Department of Emergency Medicine, College of Medicine, The Catholic University of 
      Korea, Seoul, Korea.
FAU - Kang, Hyung Goo
AU  - Kang HG
AD  - Department of Emergency Medicine, College of Medicine, Hanyang University, Seoul, 
      Korea.
FAU - Yim, Hyun Woo
AU  - Yim HW
AD  - Department of Preventive Medicine, College of Medicine, The Catholic University 
      of Korea, Seoul, Korea Clinical Research Coordination Center, Catholic Medical 
      Center, The Catholic University of Korea, Seoul, Korea.
FAU - Jeong, Seung Hee
AU  - Jeong SH
AD  - Clinical Research Coordination Center, Catholic Medical Center, The Catholic 
      University of Korea, Seoul, Korea.
CN  - Korean Emergency Airway Management Registry (KEAMR) investigators
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150511
PL  - England
TA  - BMJ Open
JT  - BMJ open
JID - 101552874
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Airway Management/*methods/standards
MH  - *Emergency Medical Services
MH  - *Emergency Service, Hospital
MH  - Female
MH  - Humans
MH  - Intubation, Intratracheal/*methods/standards
MH  - *Laryngoscopes
MH  - Laryngoscopy/instrumentation/*methods
MH  - Male
MH  - Middle Aged
MH  - Outcome Assessment, Health Care
MH  - Physicians
MH  - Propensity Score
MH  - Prospective Studies
MH  - Republic of Korea
MH  - Retrospective Studies
MH  - Risk
MH  - Treatment Failure
MH  - *Video Recording
MH  - Young Adult
PMC - PMC4431126
OTO - NOTNLM
OT  - ACCIDENT & EMERGENCY MEDICINE
EDAT- 2015/05/15 06:00
MHDA- 2016/01/29 06:00
PMCR- 2015/05/11
CRDT- 2015/05/14 06:00
PHST- 2015/05/14 06:00 [entrez]
PHST- 2015/05/15 06:00 [pubmed]
PHST- 2016/01/29 06:00 [medline]
PHST- 2015/05/11 00:00 [pmc-release]
AID - bmjopen-2015-007884 [pii]
AID - 10.1136/bmjopen-2015-007884 [doi]
PST - epublish
SO  - BMJ Open. 2015 May 11;5(5):e007884. doi: 10.1136/bmjopen-2015-007884.